Individual
DR. MOUSHUMI DUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301106147
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301106147
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2014
Last updated
09/23/2022
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